MEDICARE: GREENLIFE BEHAVIORAL HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1538889571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENLIFE BEHAVIORAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	515 W BUCKEYE RD STE 406
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85003-2651
Country	:	US
Telephone Number	:	602-818-5140
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 W BUCKEYE RD STE 406
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85003-2651
Country	:	US
Telephone Number	:	602-818-5140
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATION
Name	:	MS. LANISHA CARR
Credential	:
Telephone Number	:	602-818-5140

Provider Enumeration Date	:	08/30/2022
Last Update Date	:	08/30/2022

Similar Medicare Providers

1730032822 — VICTORIA VALDEZ VELAZQUEZ FNP-C
Practice Location Address:

515 W BUCKEYE RD STE 402
PHOENIX, AZ
85003-2651

Practice Phone: 602-257-9229
Practice Fax:

1871615930 — SHAUNA LYNN REISER B.A.
Practice Location Address:

3819 E CAMELBACK RD APT 287
PHOENIX, AZ
85018-2651

Practice Phone: 602-314-5398
Practice Fax:

1811375132 — MARY MACON LISSNER FNP-C
Practice Location Address:

5259 W INDIAN SCHOOL RD STE 100
PHOENIX, AZ
85031-2651

Practice Phone: 623-888-5101
Practice Fax:

1033695978 — NATIONAL VISION INC
Practice Location Address:

2651 N 44TH ST STE 2
PHOENIX, AZ
85008-1574

Practice Phone: 480-333-2692
Practice Fax: 602-955-1891

1316599236 — PREFERRED CARE SOLUTIONS LLC
Practice Location Address:

2651 N 50TH AVE
PHOENIX, AZ
85035-2005

Practice Phone: 602-430-9646
Practice Fax:

1821626284 — PREFERRED CARE SOLUTIONS LLC
Practice Location Address:

2651 N 50TH AVE
PHOENIX, AZ
85035-2005

Practice Phone: 602-430-9646
Practice Fax:

Directions to “GREENLIFE BEHAVIORAL HEALTH SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.